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| Name | Class |
|---|---|
| Jiangsu HengRui Medicine Co., Ltd. | INDUSTRY |
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This is an open-label, Phase 2 study exploring the efficacy and safety of 马来酸Pyrotinib Maleate Tablets in patients with solid tumors with activating(harmful) HER2 mutations or with HER2 gene amplification or immunohistochemical staining (IHC) assay showing HER2 is 3+ and / or fluorescence in situ hybridization (FISH) positive.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pyrotinib Treatment | Experimental | This arm for HER2-postive solid tumor |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pyrotinib | Drug | 400 mg administered orally, once daily, continuously in 21 day cycles |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate | Objective response rate defined as the patients confirmed complete response or partial response under RECIST 1.0 criteria. | at least 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival | Progression-free survival estimated using Kaplan-Meier methods is defined as the time from registration to the earlier of death or disease progression | up to 24 months |
| Duration of Response |
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Inclusion Criteria
Patients between the ages of 18 and 75;
ECOG physical status score 0-2 points;
The estimated total survival period is not less than 12 weeks;
Patients with HER2-positive solid tumors confirmed by pathology and identified as advanced tumors by clinicians or centers;
HER2 positive: refers to standard immunohistochemical staining (IHC) assay showing HER2 is 3+ and / or fluorescence in situ hybridization (FISH) positive or after second generation sequencing shows HER2 amplification and copy number ≥ 3, or There is a HER2 activating mutation identified by the Molecular Oncology Committee (confirmed by the investigator at the test center) ;
Imaging studies have at least one measurable lesion with a diameter ≥ 10 mm;
Pilotinib has not been used for the past 3 months;
The main organs function normally, they meet the following criteria:
Blood routine examination criteria are to comply with:
①.Hb≥100 g/L; ②.ANC ≥ 1.5 × 109 / L; ③.PLT≥75×109 /L;
Biochemical tests are subject to the following criteria
①.TBIL ≤ 1.5 × ULN (upper limit of normal value);
②.ALT and AST ≤ 2.5 × ULN; if there is liver metastasis, ALT and AST ≤ 5 × ULN;
③.Serum creatinine ≤ 1.5 × ULN, creatinine clearance ≥ 50ml / min (based on Cockroft and Gault formula);
Heart color ultrasound: Left ventricular ejection fraction (LVEF) ≥ 50%;
The patient or his legal guardian understands the test procedure and content and signs an informed consent form (ICF) to provide true and effective information in accordance with the research and follow-up procedures;
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Haitao Wang | Contact | (022)28331788 | peterrock2000@126.com | |
| LIli Wang | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Haitao Wang | Tianjin Medical University Second Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin Medical University Second Hospital | Tianjin | Tianjin Municipality | 300211 | China |
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| ID | Term |
|---|---|
| C000622954 | pyrotinib |
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The first evaluation of treatment efficacy is the time fromcomplete response or partial response to the first assessment of disease progression or death from any cause.
| up to 24 months |
| Disease Control Rate | Objective response rate defined as the patients confirmed complete response or partial response or stable disease under RECIST 1.0 criteria. | up to 24 months |
| Overall Survival | Overall survival estimated using Kaplan-Meier methods is defined as the time from treatment initiation to death by any cause | up to 36 months |
| Safety (Adverse Events and Serious Adverse Events) | From consent through 28 days following treatment completion (estimated 6 months) | up to 36 months |